Worker Interview - DSA

Worker Interview

General Information

Project Name: Lamar High School - HISD

Prime Contractor: Gilbane Building Company

Subcontrctor: Apex Firestop and Insulation

Interview Detail

Date

Worker Name

Auditor Name

Remarks

05/11/2018 04:18 PM

Wilson Castillo

Victor Bowen

none

ethnicity

gender

ssn

badge

Hispanic

Male

1234

No

Job Classification

Union Member?

Apprentice?

Period

Insulator-Building

No

No

8

Start Date

Last Work Date

Hours Last Worked

Pay Rate

05/11/2018

05/11/2018

0.00

19.00

Pay Type

Pay Day

deductions

OSHA

Paycheck

Friday

No

No

Misc Details

Tools 1

Tools 2

Tools 3

Tools 4

Knife

Ladder

Snips

none

Provides Tools?

Provides Materials?

Worked Overtime?

Hours Last Week

Yes

No

No

0.00

Other Work?

Other Training?

Experience

Certifications

none

none

9.00

lift

Aware of Postings?

Threatened?

Yes

No

Signatures

Employee Signature

Auditor Signature